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目的:探讨16层CT冠脉造影对冠心病诊断的临床价值。方法:选取2009年6月-2011年6月于我院就诊,初步怀疑为冠心病的45例患者作为研究对象,检查前均排除肝肾功能不全者,并在检查前30min给予患者他乐克50mg。每位研究对象均进行16层CT冠脉造影和经皮选择性冠状动脉造影术。结果:经16层CT冠脉造影诊断为正常或轻度狭窄11例,诊断为中、重度狭窄34例;采用经皮选择性冠状动脉造影诊断为正常或轻度狭窄12例,诊断为中、重度狭窄33例,可见16层CT冠脉造影诊断为中、重度狭窄灵敏度为91.66%,特异度为86.65%,有着较高的灵敏度和特异度。结论:16层CT冠脉造影对冠心病诊断的灵敏度和特异度较高,应加强临床推广应用。
Objective: To investigate the clinical value of 16-slice CT coronary angiography in the diagnosis of coronary heart disease. Methods: From June 2009 to June 2011 in our hospital for treatment, initially suspected 45 cases of coronary heart disease as the object of study, were excluded before the inspection of liver and kidney dysfunction, and 30 minutes before the test to patients with Leke 50mg. Each subject underwent 16-slice CT coronary angiography and percutaneous selective coronary angiography. Results: The results of 16-slice CT coronary angiography diagnosis of normal or mild stenosis in 11 cases, diagnosed as moderate and severe stenosis in 34 cases; percutaneous selective coronary angiography diagnosis of normal or mild stenosis in 12 cases, diagnosed as, Severe stenosis in 33 cases, showing 16-slice CT angiography diagnosis of moderate and severe stenosis was 91.66% sensitivity and specificity of 86.65%, with high sensitivity and specificity. Conclusions: The sensitivity and specificity of 16-slice CT coronary angiography in the diagnosis of coronary heart disease are higher. Clinical application should be strengthened.